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1073961959
LACY DEANE
TULSA, OK
NPI
1073961959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 6676)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-06-01
Last Update Date
2021-04-20
Business Address
LACY DEANE LPC
8596 E 101ST ST STE D
TULSA, OK 74133-7037
Phone number: 830-370-6939
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Mailing Address
LACY DEANE LPC
8596 E 101ST ST STE D
TULSA, OK 74133-7037
Phone number: 830-370-6939
Copy
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